Inclusion Forms

These forms are used when the Child Care Council’s Inclusion Project provides services in child care settings in Contra Costa County, California. Please contact the Inclusion Project by calling (925) 676-5442 ext. 3113 or by sending and e-mail, to request help before sending the forms.

Parent Inclusion Packet:

The Consent to Provide Services and Exchange Confidential Information must be signed by the child’s parent or guardian before Inclusion Project services can be provided in the child care program.

The Parent Questionnaire helps our Inclusion Facilitators learn about a child’s needs so we can provide appropriate assistance.

The First 5 Contra Costa Family Survey is a survey requested by the people who help fund our Inclusion Project services.